HomeMy WebLinkAbout206128 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 366013 Page 1 of 1
ONE CIVIC SQUARE DAWN ARMBRUSTER CHECK AMOUNT: $55.88
CARMEL, INDIANA 46032 C/O ESE
CHECK NUMBER: 206128
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 55.88 TRAVEL FEES EXPENSE
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORK IIc. 101 09R61
MILEAGE CLAIM A'ro'h�f
o (GOVraNxENTAL UNIT}
ON ACCOUNT OF APPROPRIATION NO. NO. FOR
(OF BOARD, DUARTMEKr OR INSIVIVILON)
SPEEDOMETER
DATE FROM TO I READING AUTO
NATURE OF BUSINESS MILES Q c
POINT POINT START FINISH I T PER MILE
-Y r-)D
10h Mvow^ -r -M-C 8
I i 1Y1e,.�,_ T 2ti, 5
AUTO LICENSE NO. TOTALS r Jr
SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, I hereby certify that the foregoing account is just and correct, that the amount claimed is 1 gaily ue, of eT liow' just dits
and that no part of th same has been paid,
Date Q14 i
O�
f� JAN 2 4 2012
]BY:
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Armbruster, Dawn Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
12/14/11 Reimb Mileage 8/5/11 12/6/11 55.88
Total 55.88
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
Armbruster, Dawn Allowed 20
In Sum of
55.88
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -5 Reimb 4343000 55.88 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
9 -Feb 2012
Signature
55.88 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund